Maldonado, Monica
Maldonado, Monica is an individual health care provider with primary practice located at 2716 Freedom Blvd , Watsonville CA 95076-1027. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Maldonado, Monica can be contacted via phone (831) 688-5300.Contact Information
Primary practice address
2716 Freedom Blvd
Watsonville CA 95076-1027
Phone: (831) 688-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1245505148 |
|---|---|
| LBN Legal business name | Maldonado, Monica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2012 |
| Last updated | Mar 11th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245505148 | NPPES |
| California | Other | ZZZ92069Z | SANTA CRUZ MEDICAL GROUP PTAN# |
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